NPI 1780639724 · live from the CMS NPI Registry
Kaiser Foundation Health Plan INC
Pharmacy, Managed Care Organization Pharmacy in Honolulu, HI. National Provider Identifier 1780639724, active.
NPI record
| NPI | 1780639724 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Managed Care Organization Pharmacy 3336M0003X |
| Practice location | 2828 PA A St, Ste 2400, Honolulu, HI 96819 |
| Practice phone | 808-432-5760 |
| Enumerated | May 24, 2006 |
| Last updated | June 9, 2017 |
| Authorized official | Suthana Tepraseuth, Pharmacist In Charge |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy | 3336C0002X | — |
| Pharmacy, Managed Care Organization Pharmacy primary | 3336M0003X | PHY-671 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.